2018 Late Winter/Early Spring Edition of DEAR – drive the cold winter away! time to reflect – time to look at the evidence! Give us your feedback on DEAR campaign if you have any suggestions please contact bennery.rickard@hse.ie – your opinion counts!


Dr. Steevens Library challenges you to set aside the next 5, 10 or 15 minutes for reading.  The following email contains links to 10+minute nuggets of reading material on topics relevant to your work and wellbeing.

Website Title Description URL
BMC Public Health Health literacy and public health: A systematic review and integration of definitions and models Health literacy concerns the knowledge and competences of persons to meet the complex demands of health in modern society. Although its importance is increasingly recognised, there is no consensus about the definition of health literacy or about its conceptual dimensions, which limits the possibilities for measurement and comparison. The aim of the study is to review definitions and models on health literacy to develop an integrated definition and conceptual model capturing the most comprehensive evidence-based dimensions of health literacy https://bmcpublichealth.biomedcentral.com/track/pdf/10.1186/1471-2458-12-80?site=bmcpublichealth.biomedcentral.com



Local Government Association (UK) FUTURES


Meeting the

health and

wellbeing needs

of young carers


It is clear young carers face many disadvantages. The very fact that they spend so much time caring takes its toll on their education, on their physical health and on their emotional wellbeing.

What can be done to tackle these inequalities? Councils are under a legal duty to identify young

carers and carry out assessments that consider the impact on the child and whole family. But

finding those young carers is tricky




BMJ Quality and Safety Providing feedback following

Leadership Walk Rounds is associated

with better patient safety culture,

There is a poorly understood relationship

between Leadership WalkRounds (WR) and domains such

as safety culture, employee engagement, burnout and

work-life balance.

International Journal of Healthcare Quality Learning from high risk industries may not be straightforward Though healthcare is often exhorted to learn from ‘high-reliability’ industries, adopting tools and techniques from those sectors may not be straightforward. We sought to examine the hierarchies of risk controls approach, used in high-risk industries to rank interventions according to supposed effectiveness in reducing risk, and widely advocated as appropriate for healthcare. https://academic.oup.com/intqhc/advance-article/doi/10.1093/intqhc/mzx163/4779889


The Guardian Health









PLOS Biology


Sugar industry withheld research effects of sucrose 50 years ago, study claims



Sugar industry sponsorship of germ-free rodent studies linking sucrose to hyperlipidemia and cancer


Researchers say negative health impacts of sucrose could have been combated sooner had research been released – but industry bodies dispute the findings





Sugar industry sponsorship of germ-free rodent studies linking sucrose to hyperlipidemia and cancer: An historical analysis of internal documents






Information Commissioner Office (UK) Preparing for the General

Data Protection Regulation


12 steps

Many of the GDPR’s main concepts and principles are much the same as those in the current Data Protection Act (DPA), so if you are complying properly with the current law then most of your approach to compliance

will remain valid under the GDPR and can be the starting point to build from.





BMJ Open


Identifying clinical features in primary care electronic health record studies



Analysis of routinely collected electronic health record (EHR) data from primary care is reliant on the creation of code lists to define clinical features of interest. To improve scientific rigour, transparency and replicability, we describe and demonstrate a standardised reproducible methodology for clinical code list development




Health Promotion .ie HSE Guidelines for Communicating Clearly using Plain English with our Patients and Service Users We developed these guidelines to help you communicate clearly with patients and service users throughout the HSE. They will help you to create, write and check your plain English written and spoken communications. Plain English is a way to write and present information so a reader can understand and act on it after a single reading. https://www.healthpromotion.ie/hp-files/docs/HNC01094.pdf


BMC Geriatrics Social and clinical determinants of preferences and their achievement at the end of life: prospective cohort study of older adults receiving palliative care in three countries Achieving choice is proposed as a quality marker. But little is known about what influences preferences especially among older adults. We aimed to determine and compare, across three countries, factors associated with preferences for place of death and treatment, and actual site of death. https://bmcgeriatr.biomedcentral.com/track/pdf/10.1186/s12877-017-0648-4?site=bmcgeriatr.biomedcentral.com


BMC Health Services Research Do expanded seven-day NHS services improve clinical outcomes The cause of adverse weekend clinical outcomes remains unknown. In 2013, the “NHS Services, Seven Days a Week” project was initiated to improve access to services across the seven-day week. Three years on, we sought to analyse the impact of such changes across the English NHS https://bmchealthservres.biomedcentral.com/track/pdf/10.1186/s12913-017-2505-8?site=bmchealthservres.biomedcentral.com


BMJ Open Association between organisational and

workplace cultures, and patient


Every organisation has a unique

culture. There is a widely held view that a positive organisational culture is related to positive patient outcomes. Following the Preferred Reporting Items for

Systematic Review and Meta-Analyses statement, we systematically reviewed and synthesised the evidence on the extent to which organisational and workplace cultures

are associated with patient outcomes

Health Economics Concentrating Emergency Rooms: Penny-Wise and Pound-Foolish?


In this paper, we address the issue of whether it is economically advantageous to concentrate emergency rooms (ERs) in large hospitals. Besides identifying economies of scale of ERs, we also focus on chain economies. The latter term refers to the effects on a hospital’s costs of ER patients who also need follow-up inpatient or outpatient hospital care. We show that, for each service examined, product-specific economies of scale prevail indicating that it would be beneficial for hospitals to increase ER services. http://onlinelibrary.wiley.com/doi/10.1002/hec.3409/full
Better care fund Why not home? Why not today? Are you looking for practical, rooted-in-reality help, in tackling the complex and long-term challenges of delayed transfers of patients from hospital settings? Are you thinking about how things work in your organisation – from the importance of changing long-standing behaviours in both leadership and frontline teams, to embracing the principle that the outcome for the patient is more important than the process. https://www.newtoneurope.com/content/sectors/NEW0164_DTOC_Brochure_Online_Spreads_1.0_1.pdf
British Journal of General Practice What do we mean by health?


The main objective of the doctor’s work, in whatever field he or she functions, is ultimately the restoration and maintenance of health. Yet, as Smith pointed out some time ago, disease and health are ‘slippery concepts’ that we have not been able to define clearly hitherto. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1463144/


BMJ Open Trials of transvaginal mesh devices for pelvic organ prolapse: a systematic database review of the US FDA approval process


Transvaginal mesh devices are approved in the USA by the Food and Drug Administration (FDA), through the 510(k) system. However, there is uncertainty about the benefit to harm balance of mesh approved for pelvic organ prolapse. We, therefore, assessed the evidence at the time of approval for transvaginal mesh products and the impact of safety studies the FDA mandated in 2012 because of emerging harms http://bmjopen.bmj.com/content/7/12/e017125


Scientific Reports

(a nature research journal)

Complications following vaginal mesh procedures for stress urinary incontinence: an 8 year study of 92,246 women


Complications of surgical mesh procedures have led to legal cases against manufacturers worldwide and to national inquiries about their safety. The aim of this study was to investigate the rate of adverse events of these procedures for stress urinary incontinence in England over 8 years. https://www.nature.com/articles/s41598-017-11821-w
International Journal of Pharmaceutical Investigation Smartphone usage and increased risk of mobile phone addiction: A concurrent study


The study participants were aware about mobile phone/radiation hazards and many of them were extremely dependent on smartphones. One-fourth of the study population were found having feeling of wrist and hand pain because of smartphone use which may lead to further physiological and physiological complication




Physiotherapy Physiotherapy interventions for people with dementia and a hip fracture—a scoping review of the literature


The findings of this scoping review suggest there is limited evidence to guide physiotherapists in the management of people with dementia who fracture their hip. No evidence was found about perceptions or experiences of patients in this group or of the physiotherapists involved in their care. Further research is needed to develop and evaluate physiotherapy interventions for people with dementia who fracture their hip. http://www.physiotherapyjournal.com/article/S0031-9406(17)30002-0/fulltext